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Developing positive work environments to retain the nurse-midwifery workforce: Co-creation of an organization-level toolkit

Award Number: K01NR021732
ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 09/01/2026
PERIOD OF PERFORMANCE END DATE: 06/30/2029

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Developing positive work environments to retain the nurse-midwifery workforce: Co-creation of an organization-level toolkit - PROJECT SUMMARY Improving access to midwifery care is a national strategy to improve maternal health outcomes; however, the US midwifery workforce is currently not large enough to meet the needs of American women and families. Efforts to increase the number of midwives entering the field are being undercut by attrition among current midwives: 23.4% of midwives report not working within the field, and over 40% of midwives meet criteria for burnout. Consequently, retention of midwives is an essential component of improving access to midwifery care. Positive work environments (PWEs)—environments that are safe, healthy, and foster meaningful practice for all workers—can help to retain the existing US midwifery workforce. PWEs have been demonstrated to improve professional well-being, workforce retention, and patient outcomes. The core attributes of PWEs for midwives include autonomy, valuing high-quality care, effective collaboration, practice leadership, and support for a low- interventive philosophy of care. The objective of this study is to develop the Organizations Support Midwives (OSM) Toolkit, an organization-level intervention aimed at improving the professional well-being and retention of midwives through implementation of clinical and procedural policies associated with PWEs. Two frameworks guide the study: the Job Demands-Resources Model posits the relationships between the work environment, professional well-being, and workforce and patient outcomes, and the Consolidated Framework for Implementation Research 2.0 provides a mapping framework for systematically evaluating the determinants to implementation of policies that contribute to PWEs. The 2 study aims and methods are as follows: (1) Identify organizational policies that promote PWEs for midwives and barriers and facilitators of their implementation with a comparative case study of 4 exemplar midwifery practice sites. We will use a mixed method convergent design to evaluate the clinical and procedural policies that contribute to PWEs for midwives and determinants to their implementation within and across groups and sites. Findings will be integrated into matrices of policies associated with attributes of PWEs and determinants to their implementation. (2) Co-create the Organization Supporting Midwives (OSM) Toolkit (a menu of organizational policies associated with PWEs for midwives with accompanying implementation strategies) using the participatory method of intervention mapping. We will convene and facilitate a team of interdisciplinary end-users to develop the OSM Toolkit. Policies in the menu will be written broadly to accommodate different midwifery practice settings and packaged according to the end-user specifications for rapid translation to practice.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $163,825 )
2026	2026	THE REGENTS OF THE UNIVERSITY OF COLORADO	13001 E 17TH PL STE F428	AURORA	CO	80045	ADAMS	USA	Nursing Research	000	1	6/16/2026	NEW	$163,825
														Subtotal = $163,825

Grand Total All Awards = $163,825

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Developing positive work environments to retain the nurse-midwifery workforce: Co-creation of an organization-level toolkit

Award Number: K01NR021732

ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 09/01/2026

PERIOD OF PERFORMANCE END DATE: 06/30/2029

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